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1194389551
KATHERINE JORDAN
FORT WORTH, TX
NPI
1194389551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX student)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
KATHERINE JORDAN ATS
4909 EL CAMPO AVE APT D
FORT WORTH, TX 76107-4910
Phone number: 817-944-0545
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Mailing Address
KATHERINE JORDAN ATS
4909 EL CAMPO AVE APT D
FORT WORTH, TX 76107-4910
Phone number: 817-944-0545
Copy
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